Application for Human Services Licensure

Who Needs a Human Services License?

• Personal Care Homes (PCH)
• Assisted Living Residences (ALR)
  
• Tool Kit for PCH/ALR Licensure
  
  • Prospective Licensee Guide
    
  • PCH Regulations
    
  • Pre-Licensure document checklist for PCH
    
  • Secure Dementia Care Unit (SDCU) document checklist for PCH
    
  • ALR Regulations
    
  • Pre-Licensure document checklist for ALR
    
  • Special Care Unit (SCU) document checklist for ALR

Children, Youth, and Families Facilities

• Adoption Services
• County Children and Youth Agency
• Day Treatment Program
  
• Foster Family Care Agency Services
• Group Day Care Home
• Mobile Programs
• Non-Secure Residential Services
• Outdoor Program
  
• Private Children and Youth Agency
• Residential Child Care Facility
• Secure Care Program
• Secure Detention Facilities
• Supervised Independent Living Program
• Transitional Living Program
• Secure Residential Services

Mental Health Facilities

• Assertive Community Treatment(ACT)
• Community Residential Rehabilitation Service
• Crisis Intervention Programs
  
• Family Based Services
  
• Intensive Behavioral Health Services
• Long-Term Structured Residence
  
• Partial Hospitalization
  
• Peer Support
  
• Private Psychiatric Hospital
• Psychiatric Rehabilitation Facility
• Psychiatric Unit
  
• Residential Treatment Facilities Adults

What Facilities Do Not Use the HS 633 Form?

Child Care Facilities

The Office of Child Development and Early Learning (OCDEL) does not utilize the HS 633. Please visit the Early Childhood Education webpage for more information.

• Child Care Centers
• Group Child Care Homes
  
• Family Child Care Homes

Intellectual & Developmental Disabilities Services

The Office of Developmental Programs (ODP) does not utilize the HS 633. Please visit My ODP for more information.

• Community Homes for individuals with Intellectual Disabilities (Adult Residential Services)
• Family Living Homes
  
• Adult Training Facilities
• Vocational Facilities